OrganizationActive
Mirabel Lodge
NPI 1366168296 · Assisted Living Facility · Forestville, CA
Mirabel Lodge is a Assisted Living Facility organization in Forestville, CA (NPI 1366168296).
Provider details
- NPI number
- 1366168296
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Alexander Varshavsky, Licensee(415) 264-5486
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6950 Mirabel Rd
Forestville, CA 95436-9534
Phone: (415) 264-5486
Approximate (ZIP-level) locationGet directions
Mailing address
6950 Mirabel Rd
Forestville, CA 95436-9534
Registry dates
- Enumerated
- 2022-10-12
- Last updated
- 2022-10-12
- Certified
- 2022-10-12
Frequently asked questions
- What is Mirabel Lodge's NPI number?
- Mirabel Lodge's National Provider Identifier (NPI) is 1366168296, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mirabel Lodge?
- Mirabel Lodge is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Mirabel Lodge located?
- Mirabel Lodge's practice location on file with NPPES is 6950 Mirabel Rd, Forestville, CA 95436-9534.
- What is Mirabel Lodge's phone number?
- The practice phone number listed in the NPPES registry for Mirabel Lodge is (415) 264-5486.
- Who is the authorized official for Mirabel Lodge?
- The authorized official listed on Mirabel Lodge's NPPES record is Alexander Varshavsky, Licensee. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mirabel Lodge's NPI active?
- Yes — Mirabel Lodge's NPI (1366168296) is active in the NPPES registry as of the last update on 2022-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.